Individual
MR. CLIFFORD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
6104 OLD BRANCH AVENUE, TEMPLE HILLS, MD 20748-2518
(301) 702-6100
(301) 702-6367
Mailing address
KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, 2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000073
MD
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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